Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391
Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 01G011 (X3) Date Survey Completed 10/04/2025
Name of Provider or Supplier Rainbow Omega, Inc, Street Address, City, State 202 Hope Drive, Eastaboga, AL
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
(X4) ID Prefix Tag Summary Statement of Deficiencies

(Each deficiency should be preceded by full regulatory or LSC identifying information)
W0454 INFECTION CONTROL
CFR(s): 483.470(l)(1)

The facility must provide a sanitary environment to avoid sources and transmission of infections.


This STANDARD is not met as evidenced by:
Based on observation, interview, and review of the facility's policy, the facility failed to ensure meals were prepared and served in a sanitary environment. A cook with facial hair was preparing clients' lunch meal without any covering to protect hair from falling into the food. This had the potential to affect 14 of 15 clients who received meals from the home's kitchen.

Findings include:

Review of the facility's policy titled, "Dietary Services Procedure," revised 04/08/13, revealed "All dietary employees will have good hygienic practices to prevent bacterial contamination. Employees will have an understanding of safety and sanitation guidelines and put into practice those guidelines in order to provide a safe product. Procedure: . . . 3. Employees shall wear hair restraints that are designed and worn to effectively keep their hair form contacting exposed food, clean equipment, utensils, and linens . . ."

Observation on 10/01/25 at 11:41 AM revealed Cook (CK) 2 was in the kitchen standing over the meal preparation area. The cook had facial exposed with no covering to protect the environment and/or food from contamination.

Observation on 10/01/25 at 11:45 AM revealed CK2 retrieving baked potatoes from the oven. CK2's facial hair was still exposed.

During an interview on 10/01/25 at 12:03 PM, CK2 stated he/she had only been employed at the facility for four days. CK2 stated he/she was not aware that his/her facial hair needed to be covered and had not been directed to have it covered.

During an interview on 10/01/25 at 2:19 PM, the Food Service Director (FSD) stated CK2 should have had something covering his/her facial hair. The FSD stated he/she needed to order facial hair coverings for CK2.

During an interview on 10/04/25 at 6:41 PM, the facility Director stated it was his/her expectation the cook would have his/her facial hair covered while in the kitchen preparing food.

Based on observation, interview, and review of the facility's policy, the facility failed to ensure meals were prepared and served in a sanitary environment. A cook with facial hair was preparing clients' lunch meal without any covering to protect hair from falling into the food. This had the potential to affect 14 of 15 clients who received meals from the home's kitchen.

Findings include:

Review of the facility's policy titled, "Dietary Services Procedure," revised 04/08/13, revealed "All dietary employees will have good hygienic practices to prevent bacterial contamination. Employees will have an understanding of safety and sanitation guidelines and put into practice those guidelines in order to provide a safe product. Procedure: . . . 3. Employees shall wear hair restraints that are designed and worn to effectively keep their hair form contacting exposed food, clean equipment, utensils, and linens . . ."

Observation on 10/01/25 at 11:41 AM revealed Cook (CK) 2 was in the kitchen standing over the meal preparation area. The cook had facial exposed with no covering to protect the environment and/or food from contamination.

Observation on 10/01/25 at 11:45 AM revealed CK2 retrieving baked potatoes from the oven. CK2's facial hair was still exposed.

During an interview on 10/01/25 at 12:03 PM, CK2 stated he/she had only been employed at the facility for four days. CK2 stated he/she was not aware that his/her facial hair needed to be covered and had not been directed to have it covered.

During an interview on 10/01/25 at 2:19 PM, the Food Service Director (FSD) stated CK2 should have had something covering his/her facial hair. The FSD stated he/she needed to order facial hair coverings for CK2.

During an interview on 10/04/25 at 6:41 PM, the facility Director stated it was his/her expectation the cook would have his/her facial hair covered while in the kitchen preparing food.